Graduated: 2001
NPI: 1427183409
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
275 BRONSON WAY NE
RENTON, WA 980564030
4252352800
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
9505 S STEELE ST
TACOMA, WA 984441858
2535976800
Source: CMS National Downloadable File, September 2026.